Recommendations, Tests, and Immunizations

New Carter Clinic Winter Recommendations

Coronavirus & Flu – Keep Contact to a Minimum, Wash Hands with Warm, Soapy Water, Use Hand Sanitizer Frequently, Wear a Mask if You are Sick, and listen to the Advice of Medical Professionals, NOT Social Media
Get Vaccine for COVID at the Earliest Availability
Increase Fluid Intake need to Drink ½ Body Weight in Ounces of Water Daily need electrolytes.
Be Aware of Skin Cancer: Skin Cancer is Almost an Epidemic Due to Time in the Sun and Tanning Beds, Which can be Very Deadly.
Immunizations
Stay Current with Vision Exam, Hearing Testing, and School Physical
Allergies: Remember to Take Medication-Recommend NON-Drowsy Medication
Alcohol Screening: Be Aware, Reach Out, and Contact Your Doctor for More Information
Alert for Bullying – Physical and Emotional
Alert for Personality Changes Consistent with Substance Abuse
Alert for Depression: Be Aware, Don’t Feel Alone, Reach Out, and Contact Your Doctor
Common Cold: Remember to Wash Hands and Sanitize for Spread Prevention
Coughing: Remember to Wear Masks in Public for Spread Prevention
Stay Active and be Aware of Weight Management for Healthy Living and Disease Prevention
Need Evaluation if Experiencing Appetite and/or Fluid Intake Changes
Wound Care Consideration: Wash and Clean the Area After the Bleeding Subsides, but Before the Final Dressing
Monitor hypertension: Check 1-2 times per month while sitting with the fleet flat, and bring your log to each appointment.

Weatherproof your Home, Car, and Chimney, Evaluate Safety of Electric Space Heaters, and Check-up Heating Systems
Install a Smoke Detector and a Battery-Operated Carbon Monoxide Detector
Fall Prevention with Ice, Slick Surfaces, Rugs, and Uneven Surfaces
Use Caution when Changing Positions, Walking, Traveling, and in Areas with Poor Lighting
Heat Your Home Safely, Light Your Home Safely, Use Generators and Appliances Safely, Conserve Heat
Keep a Water Supply, Eat Well-Balanced Meals, and Evaluate Fluid and Food Intake
Keep Pets and Animals in Mind During Cold Weather
PLAN AHEAD: Find phone numbers for your Physician, Pediatrician, Pharmacist, and Veterinarian
EMERGENCY CONTACT: Keep Neighbors, Family Members, or Person in Mind and Aware of Your Needs
Other Numbers to Include: Poison Control Center (800)222-1222, Animal Poison Control (888)426-4435, Disaster Distress Helpline (800) 985-5990, or text “TalkWithUs” to 66746

A1c – every three months
Urine Micro – annually
Dilated eye exam annually
Diabetic foot exam annually
ACE or ARB medication
ASA
If taking Metformin – annual B12 level
If Taking Invokana, Jardiance, and Farxiga: CMP every three months
It is not mandatory to stick your finger. Now, there is a patch that will monitor your blood sugar continually, as often as you like OR as needed.

BMI: Each visit for BMI over 25 (dietary recommendations)
Mammogram: annually for women aged over 40 years
Cervical Cancer Screening: annually for women who have not had a hysterectomy, every five years for women who have had a partial hysterectomy, OR every ten years for a total hysterectomy
Colon Cancer Screen/Cologuard – every three years
Annual Labs: Preventative Care: CBC, CMP, TSH, T4, Urinalysis, Hepatic Function, Lipid, Direct LDL & CK
EKG: baseline for new patients OR anytime the practitioner feels is necessary
PSA: annually for men age 50 and above
UDT (Urine Drug Test): required for a minimum of every six months for controlled drugs and may be more frequent if indicated

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease-also Recommended for Diabetic Patients
Preventative Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
Hypertension: Improvement in Blood Pressure
Controlling High Blood Pressure
Documentation of Current Medications in the Medical Record
Preventive Care and Screening: Screening for Depression
Tobacco Use and Help with Quitting
Colorectal Cancer Screening
Diabetes: Medical Attention for Nephropathy
Pneumococcal Vaccination Status for Older Adults
Falls: Screening for Future Fall Risk
Monitoring the use of High-Risk Medications in the Elderly
Ischemic Vascular Disease (IVD): Use of Aspirin or Another Anti-platelet
Breast Cancer Screening
Cervical Cancer Screening
Dementia: Cognitive Assessment
Monitoring Diabetes: A1c
Closing the Referral Loop: Must Receive Specialist Report